Eosinophilic gastroenteritis with eosinophilic infiltration of the gall bladder

2008 ◽  
Vol 1 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Wataru Adachi ◽  
Kyo Kishimoto ◽  
Hideki Shiozawa ◽  
Osamu Komatsu ◽  
Tomohito Matsushita ◽  
...  
Keyword(s):  
Gall Bladder ◽  
Eosinophilic Gastroenteritis ◽  
Eosinophilic Infiltration

scholarly journals A Rare Case of Eosinophilic Gastroenteritis and Ampullitis Leading to Benign Papillary Stenosis

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Akwe Nyabera ◽  
Keya Shah ◽  
Nso Nso ◽  
Saphwat Eskaros ◽  
Negar Niknam
Keyword(s):  
Bile Duct ◽  
Magnetic Resonance ◽  
Liver Function ◽  
Liver Function Tests ◽  
Eosinophilic Gastroenteritis ◽  
Eosinophilic Infiltration ◽  
Endoscopic Management ◽  
Papillary Stenosis ◽  
Function Tests ◽  
Benign Papillary Stenosis

Eosinophilic gastroenteritis is characterized by eosinophilic infiltration of the gastrointestinal wall. There have been limited studies of eosinophilic infiltration involving the ampulla. We present a 70-year-old woman with a history of asthma, eosinophilic esophagitis, and eosinophilic sinusitis, who underwent work up for postprandial abdominal pain and abnormal liver function tests. The patient had various imaging studies done, including computed tomography (CT) scan, magnetic resonance imaging (MRI), and magnetic resonance cholangiopancreatography (MRCP). Dilated extrahepatic bile duct with distal tapering towards the ampulla was noted on MRCP and afterwards on endoscopic ultrasound (EUS). Endoscopic retrograde cholangiopancreatography (ERCP) revealed an inflamed major ampulla with benign papillary stenosis. The patient was treated with sphincterotomy, sphincteroplasty/dilation of distal common bile duct, and placement of an 11.5 Fr × 7 cm plastic stent into the bile duct. Additionally, she was started on prednisone, which was gradually tapered down. The patient demonstrated significant improvement with systemic steroid therapy. Liver function tests (LFTs) completely normalized after ERCP. Ampullitis leading to papillary stenosis secondary to eosinophilic infiltration of the major papilla is a rare manifestation of eosinophilic gastrointestinal disorders (EGIDs). Early diagnosis would lead to appropriate medical and endoscopic management.

scholarly journals A Case of Eosinophilic Gastroenteritis with Ascites

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Erkan Caglar ◽  
Aslı Sezgin Caglar ◽  
Suut Gokturk ◽  
Ahmet Dobrucali
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Tract ◽  
Laboratory Testing ◽  
Clinical Presentation ◽  
Immunoglobulin E ◽  
Endoscopic Examination ◽  
Eosinophilic Gastroenteritis ◽  
Eosinophilic Infiltration ◽  
Pathologic Findings ◽  
Upper Gastrointestinal

Eosinophilic gastroenteritis is a rare disorder of unknown cause characterized by focal or diffuse eosinophilic infiltration of gastrointestinal tract, especially the stomach and duodenum. Its clinical presentation depends on which segment of gastrointestinal tract is affected and on the depth of eosinophilic infiltration in the affected segment. We present a case of a 35-year-old male with abdominal distention for six months. Laboratory testing revealed elevated eosinophil count and serum immunoglobulin E (IgE) levels. In abdominal tomography, ascites was observed, and eosinophilic infiltration was detected in duodenum biopsy samples, collected during endoscopic examination of upper gastrointestinal system. Clinical and pathologic findings of the patient responded to steroid dramatically. Even though their comorbidity is rare, eosinophilic gastroenteritis should be considered in differential diagnosis of patients with unspecified ascites.

Eosinophilic Gastroenteritis

2015 ◽  
Author(s):  
Robert Burakoff ◽  
Rachel Winter
Keyword(s):  
Differential Diagnosis ◽  
Rare Condition ◽  
Duodenal Mucosa ◽  
Eosinophilic Gastroenteritis ◽  
Eosinophilic Infiltration ◽  
Gi Tract ◽  
Histologic Appearance ◽  
Treatment Complications

Eosinophilic gastroenteritis (EG) is a rare condition characterized by eosinophilic infiltration of the gastrointestinal (GI) tract. This review addresses the epidemiology, etiology and genetics, pathophysiology and pathogenesis, diagnosis, differential diagnosis, treatment, complications, and prognosis of EG. A figure shows the histologic appearance of stomach and duodenal mucosa in patients with EG. Tables list symptoms of EG and differential diagnosis. This review contains 1 highly rendered figure, 2 tables, and 27 references. 

scholarly journals Eosinophilic Gastroenteritis: A Rare Digestive Disorder

2021 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Gastrointestinal Tract ◽  
Bowel Wall ◽  
Spontaneous Remission ◽  
Eosinophilic Gastroenteritis ◽  
Eosinophilic Infiltration ◽  
Eosinophilic Oesophagitis ◽  
Digestive Disorder

Eosinophilic gastroenteritis is a rare digestive disorder in children and adults characterized by eosinophilic infiltration of the gastrointestinal tract. The symptoms are nonspecific and vary, depending on the site and layer of the bowel wall infiltrated by eosinophils. Unlike eosinophilic oesophagitis, the management of eosinophilic gastroenteritis is not consensual. The course of this pathology is variable and spontaneous remission is possible. In some patients, recurrent symptoms have been reported after corticosteroid interruption.

Incidence of Gall Bladder Disease in “Normal” Men

1959 ◽  
Vol 36 (2) ◽  
pp. 251-255 ◽  
Author(s):  
Richard S. Wilbur ◽  
Robert J. Bolt
Keyword(s):  
Gall Bladder ◽  
Gall Bladder Disease ◽  
Bladder Disease ◽  
Normal Men

Papilloma of the Gall Bladder

1957 ◽  
Vol 32 (4) ◽  
pp. 666-674 ◽  
Author(s):  
Raymond A. Gagliardi ◽  
Philip D. Gelbach
Keyword(s):  
Gall Bladder

Chronic Cholezystitis Misleading as Tumor of the Gall Bladder with Concomitant Liver Abscess

Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Teebken ◽  
Bartels ◽  
Fangmann ◽  
Nagel ◽  
Klempnauer
Keyword(s):  
Gall Bladder ◽  
Liver Abscess ◽  
Solide Tumoren ◽  
Fand Sich ◽  
Histologische Untersuchung ◽  
Chronische Entzündungen

Ein 58jähriger Mann wurde mit Übelkeit, Oberbauchschmerzen, einem palpablen Tumor im rechten oberen Epigastrium und begleitendem Fieber aber fehlender Leukozytose und CRP-Erhöhung aufgenommen. Sowohl die Ultraschalluntersuchung als auch eine im Anschluss durchgeführte Computertomographie deuteten auf einen malignen Tumor der Gallenblase mit Infiltration der Leber und begleitender Abszessformation in den Segmenten 4b und 3 hin. Die Indikation zur Entfernung des Tumors im Sinne einer Hemihepatektomie links mit Cholezystektomie und Abszessdrainage wurde gestellt. Intraoperativ fand sich dann jedoch eine chronisch-eitrige Cholezystitis ohne Beteiligung der Leber selbst, sodass nur eine Cholezystektomie durchgeführt werden musste. Die histologische Untersuchung der Gallenblase erbrachte keinen Hinweis auf ein malignes Geschehen. Der Patient erholte sich gut von dem operativen Eingriff und konnte sieben Tage später entlassen werden. Diese Fallbeschreibung zeigt die Probleme auf, die bei der Differentialdiagnostik von entzündlichen und malignen Gallenblasenerkrankungen mit Beteiligung von angrenzenden Strukturen, insbesondere der Leber, bestehen. Trotz apparativer Untersuchungen wie Sonographie und Computertomogramm ist die letztendlich richtige Diagnose häufig nur intraoperativ zu stellen und erst dann die adäquate Therapie festlegbar. Chronische Entzündungen der Gallenblase können als solide Tumoren imponieren und dann als maligne Prozesse der Gallenblase und der angrenzenden Lebersegmente fehlinterpretiert werden.

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